Loving Hands Care Home

Type of visit: Required - 1 Year

On 07/27/2026, Licensing Program Analyst LPA K. Kaur arrived at the facility unannounced to conduct the required annual inspection. LPA was allowed entry by resident (R1). LPA introduced self to administrator/ Licensee stated the purpose of the visit. LPA toured the facility inside and out. LPA observed 2 residents in care at the time of visit. Facility is a 4-bedroom 2-bathroom house. Resident bedrooms were observed to have the required lighting/furnishings and are free from odor and passageway obstruction/fire hazards. LPA observed two resident window screens to be torn/ bent. Bathrooms were observed to have operational lights, running water, and non-slip mats and bars. Hot water temperature tested at 112 degrees F. LPA observed unlocked chemicals in the laundry room, garage and backyard. LPA toured the kitchen and observed a lock on the fridge and freezer. LPA observed the required 7-day supply of non-perishable food and 2- day supply of fresh perishables to be properly stored. Outside was toured, seating available under a covered patio. Backyard gate opens and is self latching. Required postings were observed. Carbon monoxide and smoke alarm detectors were observed to be operational. Fire Extinguisher was observed with a service date of 07/2/2026. First aid kit was observed to contain all required items. LPA reviewed resident and staff files. Appraisal Needs and Service Plan and Functional Capabilities forms are missing. Last Fire drill was conducted in 2025. LPA conducted medication review and observed 3 medication pills to be loose in residents (R1) Medication Bubble Pack container. Deficiencies are being cited on the attached 809D in accordance with California Code of Regulations, Title 22, Division 6. Continued to 809-C LPA requested the following documents be submitted to the Fresno CCL office by 07/11/2025: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Liability Insurance Emergency and Disaster Plan (LIC 610E) Personnel Report (LIC500), Register of Facility Clients/Residents (LIC9020A), and Surety Bond. An exit interview was conducted with Administrator. Report signed on-site by Administrator. A copy of this report, 809D with appeal rights was provided to Administrator, whose signature on this form confirms receipt of this document.the state’s words, verbatim · CDSS document, Jul 27, 2026

The state marks this report as 12 pages; the online copy we transcribed has 7. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On 06/26/25, Licensing Program Analyst LPA L. Salazar arrived at the facility unannounced to conduct the required annual inspection. LPA was greeted by Administrator, stated the purpose of the visit and was allowed entry into the facility. Administrator Certificate #7012073740 Exp 07/29/26. LPA toured the facility inside and out. LPA observed 3 residents in care at the time of visit. Facility is a 4 bedroom / 2 bathroom house. Resident bedrooms were observed to have the required lighting/furnishings and are free from odor and passageway obstruction/fire hazards. Bathrooms were observed to have operational lights, running water, and non- slip floors. Hot water temperature tested at 110 degrees F. Required postings were observed. Cleaning supplies were observed to be locked in the garage. LPA toured the kitchen observed the required 7-day supply of non-perishable food and 2- day supply of fresh perishables to be properly stored. Carbon monoxide detector was observed to be operational. Fire Extinguisher was observed with a service date of 06/12/25. First aid kit was observed to contain all required items. LPA reviewed resident and staff files. TSP services were offered and accepted by Administrator. LPA will return to facility to conduct an annual continuation of records once TSP services are completed. LPA requested the following documents be submitted to the Fresno CCL office by 07/11/2025: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Liability Insurance Emergency and Disaster Plan (LIC 610E) Personnel Report (LIC500), Register of Facility Clients/Residents (LIC9020A), and Surety Bond. No deficiencies cited on today's visit. An exit interview was conducted and a copy of this report was provided to Administrator.the state’s words, verbatim · CDSS document, Jun 26, 2025

Type of visit: Case Management - Annual Continuation

On 7/02/2024, Licensing Program Analysts M. Medina and L. Salazar arrived to the facility unannounced to conduct the required Annual Inspection. LPAs stated the purpose of the visit and were allowed entry into the facility. LPAs met with Licensee/Administrator Marietta Parangalan, who conducted the tour of the facility with both LPAs. LPA Medina reviewed a sample of staff and resident files. During review of staff files, LPA observed that the files did not contain the proper documentation to support annual training for staff. LPA reviewed Emergency Disaster plan and observed the binder to have the required updated information. LPA Salazar will document the physical plant tour and inspection tool results on a separate report. No deficiencies cited. Per California Code of Regulations, Title 22, Division 6, Chapter 8, deficiencies are being cited on the attached 809-D. If not corrected, this poses a potential risk to the health safety and personal rights to residents in care. An exit interview was conducted with Administrator. A copy of this report and appeal rights were provided during facility inspection.the state’s words, verbatim · CDSS document, Jul 2, 2024

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87411(c) · Plan of correction due date: Aug 9, 2024

All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69 This was not met as evidenced by 3 out of 3 staff files reviewed did not contain the proper documentation to support annual training for staff.the state’s words, verbatim · CDSS document, Jul 2, 2024

Plan of correction: Administrator has agreed to accept referral and TSP services. LPA Salazar will make referral for TSP.

Type of visit: Required - 1 Year

On 07/02/24, Licensing Program Analysts (LPAs) L. Salazar and M. Medina arrived to the facility unannounced to conduct the required annual inspection visit. LPAs were greeted by Administrator, stated the purpose of the visit and were allowed entry into the facility. Administrator on record is Marietta Parangalan Certificate #6040535740, Exp. 07/29/2024. LPAs toured the facility inside and out and observed 5 resident in the home at the time of visit. No residents are receiving Hospice services or Home Health care services. The facility temperature read at 76 degrees F. Resident bedrooms were observed to have the required lighting/furnishings and are free from odor and passageway obstruction/fire hazards. Carpets in bedrooms need to be cleaned. Bathrooms were observed to have operational lights, running water, and non- slip floors. Hot water temperature tested at 105 degrees F. Kitchen needs deep cleaning to include the stove, cabinets, refrigerator and microwave. Air filter vent in kitchen needs to be cleaned. Cleaning supplies were observed to be locked cabinet located in the garage. LPA toured the kitchen observed the required 7-day supply of non-perishable food and 2- day supply of fresh perishables to be properly stored. Carbon monoxide detectors were observed to be operational. A fire extinguisher was observed with a service date of 06/12/24. First aid kits were observed to contain all required items. Medications were observed to be locked cabinet located in the hallway. Required postings were observed. A sample of resident and staff files were reviewed and documented on a separate report by LPA Medina, and were observed to not have the proper documentation to support annual training for staff. Disaster Plan was observed to be complete. Per California Code of Regulations, Title 22, Division 6, Chapter 8, a deficiency is being cited on the attached 809-D. A plan of correction was developed by licensee and reviewed with LPA. An exit interview was conducted with Licensee. A copy of this report and appeal rights were discussed and provided at the time of visit. LPA is requesting the following documents be submitted to the Fresno CCL office by 07/19/2024: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Personnel Report (LIC500), Register of Facility Clients/Residents (LIC9020A),the state’s words, verbatim · CDSS document, Jul 2, 2024